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STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICESSTANDARD AGREEMENT SCO ID: 4170NM232431 AGREEMENT NUMBERNM232431STD 213 (Rev. 04/2020)PURCHASING AUTHORITY NUMBER (If Applicable)1. This Agreement
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Healthcare professionals who are affiliated with Medefis Inc and need to make amendments to their CDPH information.
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medefis-inc-cdph-amendmentpdf is a form used for filing an amendment with the California Department of Public Health (CDPH) for Medefis Inc.
Medefis Inc. is required to file the medefis-inc-cdph-amendmentpdf form.
To fill out the medefis-inc-cdph-amendmentpdf form, Medefis Inc. must provide accurate information about the amendment being made and any supporting documentation.
The purpose of medefis-inc-cdph-amendmentpdf is to update information with the California Department of Public Health regarding changes made by Medefis Inc.
The medefis-inc-cdph-amendmentpdf form requires Medefis Inc. to report details of the amendment being made, effective date, and any relevant documentation.
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